Essential Hypertension Is On in Medicine / Internal Medicine — 72yo Man | Cardiology | SMLE Q#16999
SMLE Question #16999
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 72-year-old man with essential hypertension is on ramipril 10 mg daily and amlodipine 10 mg daily. He reports good adherence, but his blood pressure remains above target on home and clinic readings. He has no history of ischemic heart disease, heart failure, diabetes, or chronic kidney disease. Physical examination is unremarkable. What is the most appropriate next medication to add to improve blood pressure control?
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